ALPER AVCI, Sadullah GİRGİN, Ercan GEDİK, Serdar ONAT

Bilateral giant morgagni hernia causing cardiac shifting

Yetmiş altı yaşında, 114 kg ağırlığında bayan hasta iki yıldır kötüleşen göğüs ağrısı ve efor ile nefes darlığı şikayetleri ile başvurdu. Öyküsünde travma yoktu. Düz ve kesitsel görüntülemede kardiyak posterior itilmeye neden olan dev anterior diyafragmatik herni saptandı. İleri tetkik ve tedavi için genel cerrahi bölümüne sevk edildi. Herniye bölümlerin redüksiyonu ve bilateral diyafragmatik defektin onarımı laparotomi kullanılarak yapıldı. Posterior kardiyak itilmeye neden olan bilateral dev Morgagni hernisi çok nadir bir olgudur.

Anahtar Kelimeler:

Fıtık, Fıtık, diyafragmatik, Yaşlı, Doppler etkisi, Erkek, Tomografi, x-ışınlı bilgisayarlı

Kardiak itilmeye neden olan bilateral dev morgagni hernisi

A 76-year-old woman weighing 114 kg presented with shortness of breath and worsening chest pain for 2-year duration. There was no history of trauma. Plain and cross-sectional imaging identified a giant anterior diaphragmatic hernia which caused cardiac posterior shifting. She was transferred to general surgery department for further investigations and treatment. Reduction of herniated contents and repairing of bilaterally diaphragmatic defect were performed via laparotomy. Bilateral, giant Morgagni hernia which causes cardiac shifting to the backward is extremely rare.

Keywords:

Hernia, Hernia, Diaphragmatic, Aged, Doppler Effect, Male, Tomography, X-Ray Computed,

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